Shine Om Yoga Liability Waiver Agreement
Thank you for enrolling in our yoga classes and congratulations on honouring yourself with self-care. I look forward to getting to know you throughout our time together and witnessing you connect deeper with yourself and your practice.
Please complete the form below to help me know you better and ensure a safe and comfortable practice.
Parents and Guardians are required to complete this form on behalf of their child(ren).
Participants Full Name and address
I identify as (Check all that apply)
Transgender - man > woman
Transgender - woman > man
Prefer not to say
Date of Birth
Emergency Contact Name/Relationship/Contact Number:
Page 1 of 6
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Terms of Service